Reflections on Building a Multi-Country AAC Implementation Guide.

Augmentative and Alternative Communication (AAC) implementation at any level is a multifaceted process that requires selection of relevant and appropriate systems to suit individual users who may have complex communication needs and other co-occurring difficulties. Careful and systematic action may be required to develop skills and abilities in the use of chosen technologies with suitable ongoing support within a wide range of settings. The wider milieu in which services are provided must also be considered in order to provide a firm foundation for capacity building alongside considerations for multilingual and multicultural factors. UNICEF with the Global Symbols team supported by local professionals working with AAC users, their families and carers set out to collaboratively provide an implementation guide based on their experiences in several Eastern European countries. The aim of the guide was to illustrate work already being undertaken in the area and to ensure the sharing of knowledge and resources where gaps were discovered. The result became a series of linked webpages in an online framework that covered practical aspects for the development of policies and procedures to support early intervention for those with severe speech, language and communication needs across countries of differing cultures and languages. The actual AAC implementation required ingenuity on all sides with translations for pictographic symbol and software adaptations with Cyrillic and Latin alphabets, new synthetic voices alongside deployment and capacity development. Considerable local support was forthcoming and captured with interviews by those working with AAC users as technology was introduced and outcomes measured. As the guide was completed several videos were shared publicly by carers with examples of AAC and assistive technology use. Policies and procedures were also shared in the form of tables, charts, symbol sets, communication boards and software that illustrated not only the occurrence of knowledge transfer and the use of open licenses, but also differences in strategies and the way they were adapted to suit the range of settings in the various countries.

AI Supporting AAC Pictographic Symbol Adaptations.

The phenomenal increase in technological capabilities that allow the design and training of systems to cope with the complexities of natural language and visual representation in order to develop other formats is remarkable. It has made it possible to make use of image to image and text to image technologies to support those with disabilities in ways not previously explored. It has opened the world of adaptations from one picture to another in a design style of a user's choosing. Automated text simplification alongside graphical symbol representations to enhance understanding of complex content is already being used to support those with cognitive impairments and learning difficulties. Symbol sets have become embedded within applications as dictionaries and look up systems, but the need for flexibility and personalization remains a challenge. Most pictographic symbols are created over time within the bounds of a certain style and schema for particular groups such as those who use augmentative and alternative forms of communication (AAC). By using generative artificial intelligence, it is proposed that symbols could be produced based on the style of those already used by an individual or adapted to suit different requirements within local contexts, cultures and communities. This paper explores these ideas at the start of a small six-month pilot study to adapt a number of open licensed symbols based on the symbol set's original style. Once a collection has been automatically developed from image to image and text descriptions, potential stakeholders will evaluate the outcomes using an online voting system. Successful symbols will be made available and could potentially be added to the original symbol set offering a flexible personalized approach to AAC symbol generation hitherto not experienced by users.

Exploring Practical Metrics to Support Automatic Speech Recognition Evaluations.

Recent studies into the evaluation of automatic speech recognition for its quality of output in the form of text have shown that using word error rate to see how many mistakes exist in English does not necessarily help the developer of automatic transcriptions or captions. Confidence levels as to the type of errors being made remain low because mistranslations from speech to text are not always captured with a note that details the reason for the error. There have been situations in higher education where students requiring captions and transcriptions have found that some academic lecture results are littered with word errors which means that comprehension levels drop and those with cognitive, physical and sensory disabilities are particularly affected. Despite the incredible improvements in general understanding of conversational automatic speech recognition, academic situations tend to include numerous domain specific terms and the lecturers may be non-native speakers, coping with recording technology in noisy situations. This paper aims to discuss the way additional metrics are used to capture issues and feedback into the machine learning process to enable enhanced quality of output and more inclusive practices for those using virtual conferencing systems. The process goes beyond what is expressed and examines paralinguistic aspects such as timing, intonation, voice quality and speech understanding.

Democratisation of AAC Symbol Choices Using Technology.

The use of an online voting system has been developed to enable democratic choices of newly designed symbols to support speech, language and literacy skills in a localisation situation. The system works for those using and supporting Augmentative and Alternative Communication (AAC) symbols on electronic systems by the provision of simplified scales of acceptance and adapted grids. The methodology and results highlighted the importance of user participation at the outset and concrete examples of symbol adaptations that were found necessary to ensure higher levels of user satisfaction. Design changes included appropriate local dress codes, linguistic nuances, social settings, the built environment and religious sensitivities.

Designing Web-Apps for All: How Do We Include Those with Cognitive Disabilities?

Accessibility guidance for the development of web-apps for users with cognitive disabilities is sorely lacking despite the availability of extensive web content accessibility standards. This paper examines additional requirements suggested by specialists in the field, in order to further aid developers looking to create accessible interactive web experiences for all.

Comparing Accessibility Auditing Methods for Ebooks: Crowdsourced, Functionality-Led Versus Web Content Methodologies.

This paper presents a gap analysis between crowdsourced functional accessibility evaluations of ebooks conducted by non-experts and the technical accessibility standards employed by developers. It also illustrates how combining these approaches can provide more appropriate information for a wider group of users with print impairments.

Stepwise Approach to Accessible MOOC Development.

Developing resources for online learning in its many guises and more recently for MOOCs has been discussed across the educational sector, usually by individuals working for one institution or organisation. Rarely are there discussions that highlight the issues of collaborative working on content that is delivered over a period of weeks for a wide range of abilities and skills. In particular there is a reluctance to face the issues presented by barriers to access for those with disabilities and even the issues that could arise should an academic be unable to access the development platform to present content. This paper aims to approach these issues by providing guidance in a series of practical steps that highlight an inclusive design approach.

Barriers and Facilitators to Uptake of Assistive Technologies: Summary of a Literature Exploration.

This paper aims to highlight some of the issues that arise with the uptake of assistive technology as found in the literature across four different domains: Telehealth; Telecare; Augmentative and Alternative Communication; and Education. The authors were not looking so much at service delivery models as user centred experiences and key words that were used to describe outcomes. The results showed remarkable similarities in the concerns of patients, families, users and other stakeholders. However, different terminologies across the fields highlighted the gulf between the fields, with professional 'silo-ing' of expertise occurring. There is a necessity for increased collaboration that could allow for knowledge sharing and enhanced assessment, uptake and continued use of assistive technologies for all potential users.

A Participatory Research Approach to develop an Arabic Symbol Dictionary.

The purpose of the Arabic Symbol Dictionary research discussed in this paper, is to provide a resource of culturally, environmentally and linguistically suitable symbols to aid communication and literacy skills. A participatory approach with the use of online social media and a bespoke symbol management system has been established to enhance the process of matching a user based Arabic and English core vocabulary with appropriate imagery. Participants including AAC users, their families, carers, teachers and therapists who have been involved in the research from the outset, collating the vocabularies, debating cultural nuances for symbols and critiquing the design of technologies for selection procedures. The positive reaction of those who have voted on the symbols with requests for early use have justified the iterative nature of the methodologies used for this part of the project. However, constant re-evaluation will be necessary and in depth analysis of all the data received has yet to be completed.

Use of assistive technology by students with dyslexia in post-secondary education.

PURPOSE: To identify the types and mix of technology (hardware and software) provided to post-secondary students with dyslexia under the UK's Disabled Student Allowance (DSA), and to determine the students' satisfaction with, and use of, the equipment provided and to examine their experiences with training. METHOD: A telephone survey of 455 students with dyslexia who had received technology under the DSA from one equipment supplier was conducted over in the period September to December 2005. The survey obtained a mixture of quantitative data (responses to binary questions and selections from a five-point rating scale) and qualitative data (participants identifying positive and negative experiences with technology). In addition, the equipment supplier's database was used to determine the technology supplied to each of the participants. RESULT: Technology provision is variable between students. The majority of students receive a recording device, text-to-speech software and concept mapping tools in addition to a standard computer system. Ninety percent of participants are satisfied or very satisfied with the hardware and the software that they receive. A total of 48.6% of participants received training, with 86.3% of those expressing satisfaction with the training they received. Of those that were offered training but elected not to receive it, the majority did so because they felt confident about their IT skills. CONCLUSIONS: Students express satisfaction not only with the computer systems that they receive but also with the special-purpose software provided to support their studies. Significant numbers of students elect not to receive training and may, therefore, not be using their equipment to its best advantage.